Safe Practice in Health and Social CareSafe practice in Health and Social Care is important and every care provider are obligatory to provide safe and effective client interventions. There are numerous aspects to safe practice such as key legislation, being informed about the policy circumstances, the prime practice guidance, how to direct risks effectively, safe guarding, and the person-centred approach.Herne. D; Sussex. F; Scourfield.
P(First published in 2008)Advanced Health and Social Care. For NVQ level 4 and foundation degrees. Key LegislationThere are many dimensions to safe practice for key legislation for an instant, knowing about the policy context, best practice guidance, how to manage risk effectively and your responsibilities as a registered healthcare professional.For example;- Control of Substances Hazardous to Health COSHH (Act 2002)In the care category, we are obligated to be aware of hazardous substances which could be bleach or cleaning chemicals, chemical products, body fluids, medication etc. This is because hazardous substances could be harmful if not utilized accordingly. The employers must protect staff and clients from harm by certifying that prospectively harmful substances are securely stored and that staff know how to control these substances.
E.g. in my workplace: before I start feeding a service user, I have to remove all my PPE, wash my hands properly and use clean gloves as it could contaminate the food or drink.Data Protection Act 1998Data protection is a crucial part of preserving dignity for those utilizing health and social care services. There are some limits on confidentiality and these apply where there is a risk of harm to other people.
E. g in my workplace we keep care plans and daily notes locked away to protect our service user’s data. Principles of Data Protection Act 1988 could include:• The right to respect for privacy and family life but also the right to the principles of administrative law used for specified, explicit purposes• The purpose of holding the information is and should only be used for that purpose• Data should be adequate, relevant and not excessive• Non-authorised people should not be able to get access to the information.
• Accuracy• Data should not be kept for longer than necessary• Data should be processed in accordance with the data subject’s rights but the data also has to be fairly and lawfully processed• Data should not be transferred to other countries without adequate protection.- Health and Safety at Work Act 1974The Act covers a broad variety of circumstances relating to welfare, health and safety in a workplace across different categories. Enforcement powers which could lead to prison sentences and fines. Under the Act employees are obligated to take care of others and to collaborate with employers’ health and safety necessities.- How to apply Health and Safety in work placeIn my work place, we apply health and safety by using a Care Plan as guidance to show how to perform a task with minimum risk of harm towards clients. A Care plan is a booklet with all of the client’s historical information. The staff have to follow the plan correctly to avoid accidents.
The employees, also have to provide adequate training and information for workers on how to follow these practices. In a Care Plan you could find information on how to use equipment safely, material accordingly, and how to administrate medication.ihsaAvailable at: www.ihsa.ca/resources/safepracticesprocedures.aspx Safe practices procedures(Assessed: 21 Oct.18) – Manual Handling Operations Regulations 1992 (amended 2002) Manual handling refers to transporting or the assistance of loading, lifting, pushing, pulling, carrying or moving by hand or bodily force, the load could be person or an object.
Manual handling is a crucial issue for care providers therefore, they need to be trained to do so accordingly. Manual handling is a crucial issue because people with restricted mobility are mandatory to be obliged safely to relocate and transfer. However, the dignity of the client is obliged to be respected throughout this process and employers have to certify that they adhere to the regulatory framework.- Reporting of Injuries, Diseases, and Dangerous Regulations (RDDOR) (1996)Employers are obligated to report severe workplace accidents, stated harmful incidents and occupational diseases to the HSE to prevent future incidents and complaints. Examples of accidents we should report could be amputation, dislocation of bodily parts like the spine or fracture.Safeguarding Vulnerable Groups Act (2006)The Safeguarding Vulnerable Groups Act was qualified to help prevent harm, or hazards of harm, by preventing people who are considered ill-suited to work with children and vulnerable adults from gathering access to them through their work but also to help prevent abuse. Organisations with a duty of supplying services or employees to undefended groups have a legal duty to mention relevant information to the service.
We also have the CQC (Care Quality Commission), which is the self-standing supervisor of health and social care which ensures that services are guarded.There are different types and categories of abuse such as:Physical abusePhysical abuse is a deliberate deed convicting trauma or injuries by bodily contact towards another person. Physical abuse could include hitting, slapping, punching, kicking, hair-pulling pushing or forcible feeding.Indicators: indicators might be the difference in behaviour of a particular person, frequent injuries or lack of consistency with the description of what occurred.WikipediaPhysical abuseAvailable at: www.wikipedia.
org/wiki/Physical_abuse(Accessed: 29 Oct. 2018)kidshealth(September 2013)Teens/family-abuseAvailable at: www.kidshealth.org/en/teens/family-abuse.html(Accessed on 30 Oct.
18) Psychological or emotional abusePsychological or emotional abuse that results in harm or agony to the individual’s mental health, development and welfare. Getting rid of mobility or communication aids or deliberately leaving someone unattended although they need support.Psychological abuse could include abandonment, verbal abuse, enforced social isolation, use of threats, preventing someone from meeting their religious/cultural needs or their expression of choice/opinion. Indicators; might be silence when a particular person is present, signs of distress, a change of appetite or insomnia.NeglectNeglect is a kind of abuse in which the person who has the duty to care after a vulnerable person, fails to do so.Neglect could include refusal of access to visitors, preventing the person from making their own decisions or failure to ensure privacy and dignity.
Indicators: might be poor physical conditions, poor personal hygiene or a poor environment.Sexual abuseSexual abuse is a sexual act or contact without the person’s authority, or in which the person was forced into authorizing. Sexual abuse could include inappropriate contact, rape or improper exposure.Indicators: might be bruising (especially to the thighs, upper arms or buttocks) agony in the genital area, or odd difficulty in sitting and walking.scieSafeguarding (April 2018)Available at: www.scie.org.
uk/safeguarding/adults/introduction/types-and-indicators-of-abuse Assessed 19 Oct. 18Action Plan for Safe Guarding: An adult safeguarding plan is the established set of activities and schemes that are intended to support and control the proceeding risks of abuse or neglect for vulnerable adults. The aim of an adult safeguarding plan is to affirm and to arrange the variety of actions to protect, and to support the adult to recuperate from the experience of neglect or abuse.What steps are to be taken to assure their safety in future: The supply of any assistance, any moderation needed in the way of that the assistance is provided, any proceeding risk management scheme as suitable, and any activity to be acquired in relation to the person or organisation that has caused the consideration.
The ethical implications required when safeguarding vulnerable service usersRefers to ensuring that people make enquiries, if it is suspected of that an adult is at risk, or a victim of neglect or abuse. An enquiry is ought to determine whether an act should be taken to prevent or stop neglect or abuse, and if it is the case, by who arranged a Safeguarding Adults Board (SAB) with core membership from the local authority, the Police and the NHS and the power to include other relevant bodies.Skillsforcare (2011)Learning and development applications for safeguarding adults Available at: www.skillsforcare.org.uk/Document-library/Standards/Care-Act/learning-and-development/care-act-implications-for-safeguarding-adults-briefing.pdf (Accessed: 21 Oct.
18)The Policy Context Act (2010)This legislation proceeds a mutually valuable association between those who are delivering healthcare services, patients and their families which respect individual necessities, worth but also show display compassion, continuity, clear communication and shared decision-making. No individual’s will be harmed or injured by healthcare providers, and a suitable and safe and environment will be supplied for the deliverance of healthcare services at all times. The most suitable treatments, interventions, support and services will also be supplied to everyone but wasteful or harmful inequality will be put an end to.
icptoolkitChild and adolescent pathwaysAvailable at: www.icptoolkit.org/child_and_adolescent_pathways/about_icps/3_the_policy_context.aspx (Accessed: 22 Oct. 2018)How to manage risks effectively A risk is the possibility of that an event will occur with harmful outcomes for a particular person or multiple people with whom they come into contact.
– Risks could be associated with health conditions, accidents, use of medication, behaviour resulting in injury, neglect, abuse, aggression, violence or lack on training. – Risks associated with everyday activities could increase by an individual’s impairment or disability. Therefore, staff are obliged to identify how people might be harmed, to evaluate risks and to take the right and appropriate precaution. Staff need to find ways to control and implement measures, review the risk assessment and update where they are needed. Risks are often thought of in terms of danger, loss, threat, damage or injury.
However risk-taking can have positive benefits for individuals and their communities such as several opportunities for personal choice. In my work place we identify potential hazards, e. g by making sure that harmful substances are locked away properly or that the oven has been turned off after using it.iowRisk management guidanceAvailable at: www.iow.
gov.uk/azservices/documents/riskmanagementguidance.pdf (Accessed on: 21 Oct. 18) Whistleblowing According to the Commission for Social Care Inspection (CSCI), whistleblowing is an action in which employees draw attention to poor practice in their workplace. Whistleblowing is the simplest form of the disclosure of misconduct within the workplace which can take on the form of mismanagement, corruption illegal ethnical or other wrong doing. Care providers, have the duty and the responsibility to report every wrong doing in the workplace such as abuse, appealing behaviour, bullying etc. Mckibbin, J and Walton, A with Mason, L (first published 2008) Leadership e Management in Health e Social Care for NVQ/LEVEL 4Winterbourne report: Is an investigation which exposes physical and psychological abuse suffered by people with learning disabilities and challenging behaviour at a care home. As a result of this report an act has been set out to make sure that vulnerable people are cared after in line with best practice and to prevent them from abuse.
Best practice Guidance Care plans are an ideal way to demonstrate the daily life of a client and the involvement of a client. The involvement of the individual that is in the care worker’s care is important and underpins the 2003 Act. There are many ways of involving the client even if obligation is needed.Learning programmesAvailable at: www.flyingstart.
scot.nhs.uk/learning-programmes/safe-practice/ (Accessed: 10 Oct.
18)Work in a Person-Centred Way: A care provider must understand their client’s situation, have compassion, skills and knowledge to support and provide every individual and focus on their care needs. Each individual has intensely personal approaches – things which they love and things that they don’t. However, care providers have to involve the client in decision making to provide a better and essential decision. Professional skills are essential when working in a person-centred way and care providers have to be able to understand their role in such as the duty of care, communication, respecting needs, values and principles.
Personal Boundaries: Refers to care providers creating limits in what service users don’t need to know of the care provider’s life. This is to ensure that the care provider’s personal life doesn’t impede with their work but also to separate their thoughts and feelings from the service user’s. Personal boundaries could be shown by refraining from discussing personal life, protecting privacy and maintaining confidentiality.Professional boundaries: Refers to the care provider’s relationships with clients and colleagues. Care workers have to ensure that their support doesn’t harm anyone in any way but provides the best quality of care.
Working with stress or tiredness could be overwhelming and could lead to failure towards service users and error in the delivery of work. However, care providers should stay professional and separate their work from their personal life and show professionality between them and the service users. Community care (19 Jun 2017)Top tips managing professional boundariesAvailable at: www.communitycare.co.uk/2017/06/19/top-tips-managing-professional-boundaries-social-work/(Accessed: 15 Oct 2018)Cooper F.
(2012)Professional Boundaries in Social Work and Social CareFirst published in 2012LondonJessica Kingsley PublishersWork areas where practice could be improvedWork areas where practice could be improved is in staff supervision and training, recognition of the regulations and strategies for safeguarding vulnerable adults from abuse, motivation observation and report to concerns and open discussion between staff, service users and managers. Mason.L; Mckibbin. J; Walton. A; (first published 2008) Leadership e Management in Health e Social Care for NVQ/SVQ Level 4